AAOS to Host Second Annual Orthopaedic Advocacy Week
The AAOS leadership, in conjunction with the Office of Government Relations, is hosting the second annual Orthopaedic Advocacy Week from August 1 to 5. This completely virtual event is designed to offer members simple, minute-long opportunities to advocate for priority healthcare policy issues including prior authorization reform, scope of practice protections, increased workplace safety, and preserving Medicare reimbursement—whether it’s sending a prewritten letter to policymakers or sharing graphics and messaging on social media. All AAOS members in the United States are invited to participate in this event and related activities to help amplify the orthopaedic voice.
Study: Prior Hip Instability Is Associated with a Seven-fold Greater Risk of Dislocation after Head and Liner Exchange
In patients undergoing isolated head and liner exchange after total hip arthroplasty, a history of dislocation was associated with seven-times greater odds of postoperative dislocation, according to a retrospective study published online in The Journal of Arthroplasty. Thirteen percent of 209 head and liner exchange patients had a dislocation within two years of exchange. Older age and higher BMI were also associated with risk of dislocation.
Study: Similar Improvement after RSA or Hemiarthroplasty for Cuff Tear Arthroplasty
For treatment of cuff tear arthroplasty, reverse total shoulder arthroplasty (RSA) and hemiarthroplasty both led to significantly improved health-related quality-of-life (HRQoL) and joint function, according to a study published in the Journal of Shoulder and Elbow Surgery. Thirty-nine hemiarthroplasty patients and 33 RSA patients were included. HRQoL was measured via the Short-Form 36 and function was measured via the Simple Shoulder Test. Costs were significantly lower for patients who met selection criteria for hemiarthroplasty.
Study: Postoperative Chronic Pain Is Associated with Higher Costs after Knee Replacement
Costs of primary care consultations and pain medications were consistently higher for patients with chronic pain after total knee replacement, according to a retrospective study published online in BMC Musculoskeletal Disorders. Fourteen percent of 5,055 patients had chronic pain following knee replacement. Additionally, for the patients with postoperative chronic pain, preoperative costs and postoperative opioid-related costs were also significantly greater than for those without pain.
Study: Greater Psychological Readiness Is Associated with Return to Sport after ACL Reconstruction
A systematic review published online in The American Journal of Sports Medicine reported that patients who return to sport (RTS) after ACL reconstruction demonstrated significantly greater psychological readiness and self-efficacy and lower kinesiophobia compared with patients who did not RTS, even with clinically similar knee function between groups. Sixteen studies were included. Patients who did RTS did not exceed a minimal clinically important difference for International Knee Documentation Committee scores compared with patients who did not RTS.
Preoperative Depression, Anxiety, and ADHD Predict Complications after Carpal Tunnel Release
A history of depression, anxiety, or attention-deficit/hyperactivity disorder (ADHD) may predict complications after carpal tunnel release, according to a study presented at the AAOS 2022 Annual Meeting. Based on chi-square testing results, there were significant differences between patients with versus without depression, anxiety, or ADHD in terms of postoperative complications. The greatest odds of postoperative complications were associated with preoperative depression.
Hands-on Surgical Skills Course from AAOS and ASES
Registration is open for the AAOS/American Shoulder and Elbow Surgeons (ASES) Anatomic and Reverse Total Shoulder Arthroplasty: Concepts and Techniques From Basic to Advanced course, taking place in Rosemont, Ill., on Nov. 4 to 5. Work alongside leading shoulder surgeons navigating the latest indications and strategies for total shoulder arthroplasty. From evaluation and planning through surgical application and postoperative management, advance your skills and discover technical pearls to optimize success.
